Individual provider Active NPI

Amy L Mestemaker, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Lima, OH
National Provider Identifier
1831180959
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
35.066657 Issued in OH
Practice address
825 W Market St Ste 260
Lima, OH 45805-2745
Phone
(419) 226-9819
NPI assigned
Oct 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-06-6657 OH
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 35.066657 OH Primary

Addresses

Primary practice location

825 W Market St Ste 260
Lima, OH 45805-2745

Mailing address

825 W Market St Ste 260
Lima, OH 45805-2745
Phone (419) 226-9819

Other practice location 1

324 Wilmington Ave
Dayton, OH 45420-1890
Phone (937) 256-4490

Other identifiers 1

IdentifierTypeStateIssuer
0221325MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240530003083 OH Practitioner - Hospice/Palliative CarePractitioner - Internal Medicine 1850284167 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.066657OHMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Lima Specialty Care LLC CurrentSince Jan 20, 2024 Accepting new patients
Mercy Health Physicians Lima, LLC Internal Medicine CurrentSince Sep 4, 2023 Accepting new patients
Central Ohio Primary Care Physicians, Inc. Past Accepting new patients
Central Ohio Primary Care Physicians, Inc. Internal Medicine Past Accepting new patients
Marysville Emergency Physicians Inc. Past Accepting new patients
Hospitalist Services Medical Group of Marysville Inc Internal Medicine Past Accepting new patients

Locations

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

825 W Market St
Ste 260
Lima, OH 45805
Phone (419) 222-6595

750 W High St
Ste 250
Lima, OH 45801
Phone (419) 227-7399

830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960

770 W High St
Ste 450
Lima, OH 45801
Phone (419) 996-5069

Interoperability endpoints

  • Direct secure messaging: amestemaker449270@direct.bsmhealth.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mercy Health - Hospice, LimaLima, OH, CCN 361543 Hospice Contracted Managing Employee Apr 23, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1831180959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 W MARKET ST STE 260",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052745",
            "telephone_number": "419-226-9819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 W MARKET ST STE 260",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052745",
            "telephone_number": "419-226-9819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "324 Wilmington Ave",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454201890",
            "country_code": "US",
            "telephone_number": "937-256-4490",
            "fax_number": "937-256-8145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MESTEMAKER",
        "first_name": "AMY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-06-6657",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "OH",
            "license": "35.066657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0221325",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.